Girl Scout Cookie 5 for 5 Promotion

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Thank you for your purchase of five or more boxes of Girl Scout cookies! Your purchase helps us in our mission to build girls of courage, confidence, and character who make the world a better place.

To enter our drawing for five cases of Girl Scout cookies, please complete this form. Entries must be received by April 3, 2015 to be eligible for the drawing.

Questions with an asterisk (*) are required.

First Name *

Last Name *

Unique Code *

This code is found at the bottom of your "5 for 5" coupon

Address 1 *

Address 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Confirm Email Address *

Would you like to receive email alerts regarding special promotions we're offering during Girl Scout cookie time? *

Yes

Please tell us your favorite Girl Scout cookie varieties. *

More than one box may be checked.

Samoas

Tagalongs

Thin Mints

Do-si-dos

Trefoils

Savannah Smiles

Rah-Rah Raisins

Required

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